Individual provider Active NPI

Samantha Lynn Arcand, LAC, LCSW

  • Addiction (Substance Use Disorder) Counselor
  • Lolo, MT
National Provider Identifier
1194182337
Registry record updated Jan 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
LAC-LAC-TMP-4235 Issued in MT
Practice address
10972 Stella Blue Dr
Lolo, MT 59847-8463
Phone
(763) 226-8206
NPI assigned
Jan 19, 2016
Last updated
Jan 29, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X BBH-LAC-LIC-18507 MT
Clinical Social Worker 1041C0700X BBH-LCSW-LIC-48148 MT
Addiction (Substance Use Disorder) Counselor 101YA0400X LAC-LAC-TMP-4235 MT Primary

Addresses

Primary practice location

10972 Stella Blue Dr
Lolo, MT 59847-8463

Mailing address

10972 Stella Blue Dr
Lolo, MT 59847-8463
Phone (763) 226-8206

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
BBH-LAC-LIC-18507MTMDAddiction (Substance Use Disorder) Counselor
LAC-LAC-TMP-4235MTMDAddiction (Substance Use Disorder) Counselor
BBH-LCSW-LIC-48148MTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Waves of Change Counseling Mt Addiction (Substance Use Disorder) CurrentSince Apr 9, 2024 Accepting new patients

Locations

1008 South Ave W
Missoula, MT 59801
Phone (406) 426-3642

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1453161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611878400000",
    "number": "1194182337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10972 STELLA BLUE DR",
            "city": "LOLO",
            "state": "MT",
            "postal_code": "598478463",
            "telephone_number": "763-226-8206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10972 STELLA BLUE DR",
            "city": "LOLO",
            "state": "MT",
            "postal_code": "598478463",
            "telephone_number": "763-226-8206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARCAND",
        "first_name": "SAMANTHA",
        "middle_name": "LYNN",
        "credential": "LAC, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-19",
        "last_updated": "2021-01-29",
        "certification_date": "2021-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MT",
            "license": "BBH-LAC-LIC-18507",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "BBH-LCSW-LIC-48148",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MT",
            "license": "LAC-LAC-TMP-4235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lolo, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.